Petersons Perscription Pharmacy Inc

NPI 1053322552 - Pharmacy - 333600000X

NPI Details
NPI 1053322552
Enumeration Date 08/10/2006
Last Updated 08/31/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM WILLIAM
Position PRESIDENT
Phone (708) 848-5020
Fax (708) 848-5022
Practice Location
715 LAKE ST
OAK PARK IL, 60301-1467, US
Phone (708) 848-5020
Fax (708) 848-5022
Business Location
715 LAKE ST
OAK PARK IL, 60301-1467, US
Phone (708) 848-5020
Fax (708) 848-5022
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Petersons Perscription Pharmacy Inc NPI is 1053322552, taxonomy code is 333600000X Petersons Perscription Pharmacy Inc physically located at 715 Lake St, Oak Park IL, 60301-1467. NPI Number 1033115704 has the healthcare provider type.

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1053322552 NPI number is provided on an as is basis without warranty of any kind. 1053322552 is maintained by the National Plan & Provider Enumeration System. The contents of Petersons Perscription Pharmacy Inc are for informational purposes only.